We are Magnolia Innovation, an independent market research firm that specializes in healthcare. We are looking for people like you to participate in market research interviews and surveys. You may qualify if you or a loved one suffer from Mesothelioma. Qualified participants will receive $100 for a one-hour phone interview.

Participate inFOUR EASY STEPS

Step 1Fill Out Form Below

Step 2Someone Will Screen You

Step 3Participate In The Interview

Step 4YOU WILL BE Paid!

Step 1:

This information, including your telephone number, will never be used or sold to a third party for marketing or sales purposes. Please supply an email address you check often; this will be our primary way to communicate with you.

Asterisk indicates required question

1. Name *

1. Name

First Name

Last Name

2. Please select any of the conditions below that YOU are currently receiving treatment for under the care of a physician. *

Please select all that apply. If you do not have any of these conditions, please select 'None of the above'.

Polycystic Kidney Disorder

Diabetes

Mesothelioma (Abdomen)

Mesothelioma (Lung)

Chronic Heart Failure

Small Cell Lung Cancer

Non-Small Cell Lung Cancer

None of the above

3. Please select any of the conditions below that SOMEONE YOU CARE FOR is currently receiving treatment for under the care of a physician. *

Please select all that apply. If the person you care for does not have any of these conditions, please select 'None of the above'.

I'm not a caregiver for anyone

Polycystic Kidney Disorder

Diabetes

Mesothelioma (Abdomen)

Mesothelioma (Lung)

Chronic Heart Failure

Small Cell Lung Cancer

Non-Small Cell Lung Cancer

None of the above

4. What have YOU done in the past 12 months with respect to Mesothelioma? *

Please select all that apply. If you you have not done any of these in the past 12 months, please select 'None of the above'.

I do not have Mesothelioma

Treatment or medication only for pain relief

Surgery to remove lung cancer (not just for pain relief)

Surgery only for pain relief

Chemotherapy to treat lung cancer

Radiation therapy to treat lung cancer (not just for pain relief)

Radiation therapy only for pain relief

None of the above

5. What has SOMEONE YOU CARE FOR done in the past 12 months with respect to Mesothelioma? *

Please select all that apply. If the person you care for has not done any of these in the past 12 months, please select 'None of the above'.

I'm not a caregiver for anyone

I am a caregiver, but the person I care for does not have Mesothelioma

7. If you’d like, please enter your daytime phone number to help us reach you (optional).

7. If you’d like, please enter your daytime phone number to help us reach you (optional).

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Thank you!

Step 2: Someone will Screen you

A member of our team will reach out to you for a quick screening survey (the call will take ~3-5 minutes) to confirm that you qualify for the interview. We will schedule this call around your availability.

Step 3: Participate In The Interview

If you qualify, you can choose to participate in a 60-minute interview at a time that works with your schedule.

Step 4: Get paid!

Upon completion of the interview, compensation will be disbursed, either through a secure transferring service such as Paypal, or by way of check to their home address, depending on your preference.

If you have any questions, please mesopatientsurveys@magnoliainnovation.com and we can speak over email or set up a phone call to discuss the interviewfurther to make sure you are comfortable with the process.

Please Read:Information collected during the course of this interview is for market research purposes only, it is in no way intended to be promotional. This market research has been funded and supported by a pharmaceutical company. However, the interview is “double blinded,” which means that the sponsor of the interview will not be informed of your identity, and you will not be informed of the Sponsor’s identity.